Sorority Cheer House Registration

Sorority Cheer House Registration

7661 Rendon Bloodworth RD. Mansfield TX 76063 Unit 504
Student Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState

Zip Code
Guardian E-mail
example@example.com
Mobile Number

Area CodePhone Number
Emergency Contact Number

Area CodePhone Number
Classes
Class will not be prorated if you miss a class

No discount if closed on a holiday

Team discount will only be available if you have 10 or more girls enrolled

Late fee will apply if paid after the 20th of the month

You will be asked to sit out if you have a outstanding balance

Make class will be available if class is cancelled by owner
Please list any special needs, behavioral issues or Concerns that will hinder ability to learn.
Team

team name city

Pre-Participation Acknowledgement of Assumption of Risk and Release of Liability

Acknowledgement of Assumption of Risk: I understand that participation is inherently involved with physical movement and physical contact, which are the components that distinguishes it from the typical class. Understanding this, there are genuine risks to anyone who engages in activities with SCH.I understand by participating my student runs the risk of being injured.I also understand that other student’s participating may engage in conduct that may increase the risk of injury to my child.I knowingly assume responsibility for any and all such risks and all resulting injuries, including death.I do hereby voluntarily choose for my child to participate in athletics at SCH in spite of the risks.Furthermore, my child does not have any medical record or history that could be aggravated by his/her participation. Release of Liability: I hereby release and discharge SCH its administration, faculty, and staff from all actions, claims, or demands I now have or may hereafter have for injury or damage resulting from my child's participation. I relieve SCH from liability for personal injury or wrongful death. I have carefully read this agreement and fully understand its contents. By checking the box below, indicates I have read this entire information, understood it completely, and agree to be bound by its terms.

Medical Treatment Authorization:
I hereby grant consent to authorize health care provider designated by Sorority Cheer House to provide my child blanks with any emergency medical care as a result of any injury/illness.
This consent includes First Aid, CPR, and transportation to/from health care providers.

blank
Signature

Pre-Participation Acknowledgement of Assumption of Risk and Release of Liability